Form

We want your feedback

Complete our survey and share your ideas for climate action in Puketāpapa.
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

SuburbState / Province

Postcode
What do you currently do to support the climate?
What would you like to see in place or more of in Puketāpapa to help you do more to support the climate?
Please provide which area/route where you would like to see improved public transport.
Do you have any other ideas that you would like to share about particpating in climate action in your community?
Would you like to go on our mailing list to hear about climate action activities in Puketāpapa?
You are in the draw to win one of three prezzie cards to the value of $50. You will be contacted at the email address you supplied above. The prizes will be drawn on 31 August 2026.
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We want your feedback